SCFF Barker Newsletter

2011 Steele County Livestock Hall of Fame Nomination Form

Submission Deadline:
May 1, 2011
Steele County Free Fair
P.O. Box 650
1525 South Cedar Ave.
Owatonna, MN 55060

Please make sure to complete all fields accurately and click "Submit" when finished. Forms with incomplete information will not be processed.

Nominee:

Impact/influence upon the livestock industry; county, state, national.
(County being the priority):

Leadership in the livestock industry; county, state, and national.
(County being the priority)

Length of Livestock and/or Community Service

Other relevant contributions or accomplishments of this nominee.

List three references or contacts, who would know the nominee.

Contact Person Information:		Date:
First Name:		Last Name:

Street Address:		City:

State:	Zip: (5 digits only example: 55060)

Telephone Number: (10 digits only example: 5074515305)		Email Address: (must be a valid email address)

Double check all fields to make sure you filled them out correctly and accurately before clicking the Submit button.

A copy of the completed form will also be sent to the Email address you provided in the form.